| NPI | 1639526353 |
|---|---|
| Former Name | MARIANNE ELIZONDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149022755) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.101439) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2022-10-30 |